Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$6,417.60
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$10,696.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$71.46 with Cigna vs $9,091.60 with Multiplan — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Cigna | Commercial | $71.46 | ↓ -99% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $88.45 | ↓ -99% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $88.45 | ↓ -99% |
| PA Health & Wellness | PA Medicaid HMO | $89.34 | ↓ -99% |
| Humana | Medicare | $89.34 | ↓ -99% |
| Geisinger | Medicaid/CHIP | $89.34 | ↓ -99% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $89.34 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicaid | $91.13 | ↓ -99% |
| Aetna | Medicare | $93.18 | ↓ -99% |
| Geisinger | Medicare | $93.81 | ↓ -99% |
| Cigna | Medicare | $93.81 | ↓ -99% |
| United Healthcare | Medicare | $95.59 | ↓ -99% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $96.49 | ↓ -98% |
| UPMC Health Plan | Managed Medicaid | $98.28 | ↓ -98% |
| UPMC Health Plan | CHIP | $109.89 | ↓ -98% |
| Keystone Autism Services | ACAP | $142.94 | ↓ -98% |
| Highmark BCBS of PA | Community Blue PPO | $251.28 | ↓ -96% |
| Highmark BCBS of PA | CHIP - Managed Care | $261.91 | ↓ -96% |
| Highmark BCBS of PA | Commercial | $279.20 | ↓ -96% |
| United Healthcare | Commercial | $355.89 | ↓ -94% |
| Prime Net | Managed Medicare | $1,465.35 | ↓ -77% |
| Keystone Health Plan | Medicare Advantage | $2,139.20 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $2,139.20 | ↓ -67% |
| Capital Blue Cross | CHIP | $3,433.42 | ↓ -46% |
| Keystone Health Plan | Commercial | $3,433.42 | ↓ -46% |
| Capital Blue Cross | Commercial | $3,433.42 | ↓ -46% |
| Prime Net | Legacy Commercial | $4,171.44 | ↓ -35% |
| Aetna | ACO | $4,203.53 | ↓ -34% |
| Prime Net | ACO | $4,203.53 | ↓ -34% |
| UPMC Work Partners | Workers Comp | $4,355.41 | ↓ -32% |
| Prime Net | NonGateKeeper | $4,973.64 | ↓ -23% |
| Aetna | Commercial | $5,005.73 | ↓ -22% |
| Prime Net | GateKeeper | $5,005.73 | ↓ -22% |
| Wellspan Population Health | PPO | $6,952.40 | ↑ +8% |
| Geisinger | Commercial | $7,003.74 | ↑ +9% |
| UPMC Health Plan | Commercial | $7,487.20 | ↑ +17% |
| Prime Net | FH-Medical Rental | $8,086.18 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $9,091.60 | ↑ +42% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,153.80 | $56.41 – $1,538.40 |
| UPMC Bedford | Everett | $1,355.20 | $32.23 – $1,524.60 |
| UPMC Cole | Coudersport | $15,980.40 | $58.81 – $21,307.20 |
| UPMC Community Osteopathic | Harrisburg | $6,417.60 | $24.81 – $9,091.60 |
| UPMC East | Monroeville | $12,202.80 | $19.98 – $1,355.20 |
| UPMC Hamot | Erie | $10,005.00 | $56.41 – $258.52 |
| UPMC Northwest | Seneca | $1,355.20 | $56.41 – $96.49 |
| UPMC Hanover | Hanover | $6,417.60 | $71.46 – $142.94 |